Steen

Steen v. John Hancock Mutual Life Insurance

Good Law
106 F.3d 904·97 Daily Journal DAR 1384·1997 WL 49963·1997 U.S. App. LEXIS 2137·97 Cal. Daily Op. Serv. 926
United States Court of Appeals for the Ninth CircuitFebruary 10, 1997Nos. 95-15874, 95-16061California7,099 words

Opinion

Lead Opinion

Wiggins, J.

The California Council of Civil Engineers and Land Surveyors (“Cal Council”), an association of California employers engaged in civil engineering and surveying, established a trust fund (“Cal Council Trust”), through which it purchased insurance from John Hancock Mutual Life Insurance Co. (“John Hancock”) to provide health insurance benefits to the employees of its member employers. As part of the insurance agreement, Cal Council and John Hancock established a Rate Stabilization Reserve (“RSR”), administered by Association Administrators & Consultants (“AA & C”), under which an amount equaling twelve percent of the annual premium paid by the Cal Council Trust to John Hancock was to be set aside to offset potential premium increases caused by unforeseen increases in claims paid on the John Hancock policy. Under the agreement, the RSR balance was to be returned to the Cal Council if it withdrew from the insurance agreement after sufficient notice. When John Hancock terminated the agreement, a dispute over the amount due from the RSR to the Cal Council arose.

The Civil Engineers and Land Surveyors of California (“CELSOC”) was created as a result of a merger between the Cal…

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